The higher the density of the structure the darker shadow behind that structure.

A nurse is caring for four adult patients who are currently taking trimethoprim-sulfamethoxazole. Based on the following assessment findings, which patient should the nurse assess first? Patient A: 68-year-old with chronic kidney disease (stage 3) Reports fatigue and nausea BP 145/90 mmHg, HR 90, RR 20 Last dose taken 2 hours ago Patient B: 50-year-old with anemia Reports pale skin and fatigue after 3 days of therapy Vital signs: BP 110/68 mmHg, HR 97, RR 18 Patient C: 44-year-old with a history of Hypertension  Reports painful red lesions on lips and inside mouth, fever, and body aches Vital signs: BP 118/76 mmHg, HR 98, RR 20 Patient D: 47-year-old with urinary tract infection Complains of headache Fever, nausea and painful urination   Which patient should the nurse assess first?

A client receiving linezolid for MRSA pneumonia is also taking sertraline for depression. Two days after starting linezolid, the client becomes restless and confused. Assessment reveals: Temperature 39.4°C (102.9°F) BP 168/92 mmHg HR 122 bpm Diaphoresis Tremors and hyperreflexia What is the nurse’s priority action? 

The nurse is reviewing new prescriptions for IV gentamicin. Which prescription should the nurse question? 

A 72-year-old client is receiving Levofloxacin for community-acquired pneumonia. The client reports sudden sharp pain in the posterior ankle while walking. The client’s medication list includes: Prednisone daily Metoprolol daily Simvastatin daily Acetaminophen as needed Which medication interacts with levofloxacin and increases the risk of tendon injury in this client?

A client is diagnosed with uncomplicated gonorrhea. Which medication regimen should the nurse anticipate the provider prescribing?

The nurse is evaluating teaching for a client prescribed azithromycin for pneumonia. Which statement by the client indicates correct understanding of the medication?

The nurse reviews new prescriptions for a client admitted with community-acquired pneumonia. The client has a history of myasthenia gravis and takes pyridostigmine. Which prescription should the nurse question?

A 68-year-old client has been taking nitrofurantoin prophylactically for recurrent UTIs for 8 months. The client reports nonproductive cough, and fatigue. Assessment reveals bilateral crackles and oxygen saturation of 90% on room air. What is the nurse’s priority action? 

A client has been taking isoniazid for 3 months for latent tuberculosis. The client reports progressive numbness and burning in the hands and feet. The client states they have not been taking any additional vitamins. What is the nurse’s priority action?